TABLE 3.

Likelihood of a Child Maltreatment Fatality Being Ascertained by the Death Certificate in Colorado, 1990 to 1998

Demographic CharacteristicAscertainment by Death CertificateOdds Ratio for Likelihood of Ascertainment of Maltreatment by Death Certificate (95% CI)
YesNoUnivariateMultivariate*
N(%)N(%)
Gender
 Male74(44)94(56)1.00Reference1.00Reference
 Female73(57)54(43)1.72(1.08, 2.73)1.90(1.13, 3.18)
Age
 Birth to 1 y59(49)61(51)1.00Reference1.00Reference
 1–460(55)49(45)1.27(0.75, 2.13)1.02(0.57, 1.84)
 5–913(42)18(58)0.75(0.34, 1.66)0.77(0.32, 1.87)
 10–1411(44)14(56)0.81(0.34, 1.93)0.62(0.22, 1.72)
 15–164(40)6(60)0.69(0.19, 2.57)0.54(0.12, 2.41)
Race/ethnicity
 White72(46)83(54)1.00Reference1.00Reference
 Hispanic38(50)38(50)1.17(0.67, 2.02)1.17(0.64, 2.14)
 Black35(64)20(36)2.04(1.08, 3.85)1.86(0.93, 3.72)
 Other2(25)6(75)0.39(0.08, 2.00)0.59(0.11, 3.19)
Place of death
 Denver metro97(52)88(48)1.00Reference1.00Reference
 Other metro43(54)37(46)1.05(0.62, 1.79)0.94(0.52, 1.70)
 Rural7(23)23(77)0.28(0.11, 0.68)0.41(0.16, 1.05)
Social services history
 Yes50(49)52(51)1.00Reference1.00Reference
 No97(50)96(50)1.05(0.65, 1.70)0.91(0.53, 1.56)
Perpetrator
 Parents65(43)87(57)1.00Reference1.00Reference
 Other relatives (including step-parents)17(47)19(53)1.20(0.58, 2.48)1.37(0.62, 3.07)
 Other unrelated (including boyfriend)44(86)7(14)8.41(3.56, 19.88)8.71(3.52, 21.55)
 Care provider8(42)11(58)0.97(0.37, 2.56)0.94(0.34, 2.64)
 Unspecified13(35)24(65)0.73(0.34, 1.53)0.75(0.34, 1.65)
SES
 Low45(48)48(52)1.00Reference1.00Reference
 Medium46(50)45(50)1.11(0.63, 1.98)1.19(0.61, 2.31)
 High54(51)52(49)1.11(0.64, 1.93)1.52(0.77, 3.00)
Total147(50)148(50)
  • CI indicates confidence interval.

  • * Place of death indicates the county in which the child died. Social services history refers to any previous history on the family. SES is based on the % of children living under the federal poverty level in the child’s zip code of residence at the time of death, divided into tertiles based on the distribution of the cases.

  • Includes licensed and unlicensed care providers as well as care providers in a medical or institutional setting.